Clinical management of acute superior mesenteric vein thrombosis
10.3760/cma.j.issn.1007-631X.2018.12.015
- VernacularTitle:急性肠系膜上静脉血栓形成的诊治分析
- Author:
Ji WANG
1
;
Xi WANG
;
Guojing ZHANG
;
Li LU
;
Yongjia YAN
;
Weihua FU
Author Information
1. 300052,天津医科大学总医院普通外科
- Keywords:
Veinous thrombosis;
Mesenteric veins;
Bowel resection
- From:
Chinese Journal of General Surgery
2018;33(12):1034-1037
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnosis and treatment of acute superior mesenteric venous thrombosis (ASMVT).Methods Clinical data of 36 ASMVT patients admitted to our department from Jan 2014 to Oct 2017 were retrospectively analyzed,the differences of the clinical data and prognosis of nonsurgical group and surgical group were studied.Results All patients received anticoagulation therapy immediately after diagnosis,and recanalization rate was 42％.Surgical group included 21 cases,of which 9 cases received emergency surgery,12 cases received delayed bowel resection.There was significant difference between non-surgical group and surgical group (P ＞ 0.05) in hemoglobin level at admission (124 ±29)g/L vs.(93 ± 13) g/L,t =3.880,P =0.006.Compared with delayed bowel resection group emergency surgery group had longer bowel resection (65 ± 58) cm vs.(13 ± 6) cm,t =2.700,P =0.035,more loop ileostomy (6 vs.1,x2 =7.875,P =0.016),more postoperative complication rate (56％ vs.8％,x2 =5.619,P =0.046),but there was no significant difference in hospitalization time,hospitalization cost,postoperative recurrence and mortality rate (P ＞ 0.05).Conclusions Early anticoagulantion therapy is advised for ASMVT patients to avoid bowel resection or reduce the length of intestinal resection.It is advisable for those who can be tided over to delayed bowel resection with intestinal obstruction.
